Tim and I started off the morning with individual X's. The two patients that came were regulars so Tim worked with the female and did lots of balancing work while I worked with the male. As my patient has been attending these hour long X classes everyday, I decided to give him an 'easy' day where he started off with lying on the plinth for 10 min to stretch out him flexors with the use of gravity and he also did some neck rotations as his neck had been hurting recently. We supplied him with a warm heat pack. After lying there for a while I took him over to the X bike where he road for 4Km in around 12 mins. Normally he rides 7Km in 23.5 mins. After his bike ride i took this patient back to the plinth and continued with passive flexor stretches followed by bridges. He found bridging without bending his knees a bit difficult so i simplified it down to knees bent. This made it a lot easier by next week i think we should progress it back to straight knees. After this exercise I sent him on his way.
At 9:30, Tim and I met an OTA to do walking in the NH with the female patient who has been having the buckling knee. She was able to walk further on Thursday and was very disappointed with her distance she made today. She seems to suffer SoB and this changes day to day. Hopefully after the weekend she will perform better as she gets so down when she thinks she's done a bad job. I think next week April is going to walk her herself and see if there is anything significantly wrong with her. Our goal for this lady is to maintain her ability to walk as she is whellchair bound all day and this helps with her fitness and self esteem. Also I think by able to stand she is able to help in toileting and showering. This makes a huge difference in the nursing home!
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